| NPI | 1275052458 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENNIS JAMES GEYER President 360-515-2555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: WA MD00048961) |
| Enumeration Date | 2017-09-19 |
| Last Update Date | 2017-09-19 |